Individual
MR. DAVID R. OHLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
747 BROADWAY, SEATTLE, WA 98122-4379
(206) 386-3579
Mailing address
98 POPLAR STREET, BLACKFOOT, ID 83221
(208) 782-2950
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
11510070-1204
UT
207R00000X
Internal Medicine Physician
Primary
OP60970394
WA
208M00000X
Hospitalist Physician
11510070-1204
UT
Other
Enumeration date
07/15/2016
Last updated
07/28/2021
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